Depression in patients with chronic low back pain (original) (raw)
Related papers
2017
Low Back Pain (LBP) is a common musculoskeletal disorder causing huge humanitarian and economical costs (Andersson, 1999). It is often classified, according to duration of pain, as acute (short term), sub-acute (intermediate) and chronic (long-term) and is typically referred to as being specific or non-specific (Andersson, 1999; Merskey and Bogduk, 1994). Specific LBP refers to symptoms caused by ‘red flags’ such as spinal fractures, cancers, infections, and cauda equina syndrome. However, approximately 90% of cases of back pain have no identifiable cause and are designated as non-specific (Deyo and Weinstein, 2001).
Depression in patients with chronic low back pain: A hospital-based study
Nigerian Journal of Surgical Research, 2016
Background: Chronic low back pain (CLBP) is a common orthopedic condition that co-exists with depression. The combination of these two contrast ailments is often associated with poorer treatment response and increase health care cost. Objectives: To determine the prevalence of depression in patients with CLBP and study the effects of sociodemographic factors. Materials and Methods: This is a cross-sectional study of adult patients with CLBP seen at BSUTH Makurdi from April 2014 to September 2014. Patients were assessed for depression using hospital anxiety depression scale (HADS). Data obtained were analyzed using SPSS version 16. Results: One hundred and fourteen patients were recruited for the study, consisting of 48 males and 66 females. Age ranged from 23 to 75 years, with mean age of 44.7 years. Of 114 patients, 45 patients were found positive for depression using HADS. The rate of depression in these patients was 39.5%. The highest rate of depression was seen in 30-39 years age group. Conclusion: The prevalence of depression in patients with CLBP was observed to be 39.5% which is comparable to the reports of previous studies in the developed countries.
Predictors of disability in patients with chronic low back pain
Archives of Medical Science
IntroductionChronic low back pain (CLBP) is a common and disabling health problem. In this study, we aimed to assess the relationship between pain intensity, the components of catastrophizing, depression and disability in patients with chronic low back pain.Material and methodsSeventy-six patients diagnosed with CLBP (age range 25–77 years; 73.7% female) participated in the study. Participants’ socio-demographic data were collected: age, gender, height, weight, and work status (employed or retired). All participants were asked to complete the Pain Catastrophizing Scale (PCS), the visual analogue scale (VAS), the Oswestry Disability Questionnaire (ODQ), and the Beck Depression Inventory (BDI).ResultsThe mean group scores revealed moderate CLBP complaints (VAS – 4 [3–6]), mild depression (BDI – 10 [5–16]), a moderate level of catastrophizing (PCS total score 20.5 [10–34]) and moderate disability (Oswestry Disability Index [ODI] – 31 [14–38]). Positive significant correlations were fou...
Incidence of depression in chronic low-back painA hospital based study
iapsmgc.org
Background: Depression and Chronic Lowback pain (CLBP) are two contrast ailments which affect different parts of a human body. Depression is a psychiatric condition while lowback pain is a distinctly physical condition with many physically presentable symptoms. This study was conducted to investigate the comorbidity of depression among the patients suffering from chronic low-back pain, who visit an orthopedic surgeon in a hospital of Gujarat, and study the effect of Socio-demographic factors. Method: Questionnaire based survey of depression in chronic low-back Pain in hospital setting. The study population consisted of patients who visited an orthopedic surgeon for complaint of Chronic low-back pain, having pain for atleast last 3 months, and age 30 years or above. Result: Out of the 107 patients, 59 patients were found positive for depression using the BDI scale. Hence, 55.14% of people suffering from chronic low-back pain also suffered from clinical depression. This percentage also included the patients in whom there was a presence of confounding factors, and females who were currently going through menopause. Conclusion: The incidence of depression in CLBP was observed to be 55.14% which is higher than reported in previous studies.
Journal of Pain Research, 2017
Background and purpose: Nonspecific low back pain (LBP) is the most prevalent musculoskeletal condition in various age ranges and is associated with depression. The aim of this study was to determine the Beck Depression Inventory (BDI) scores in participants with nonspecific LBP and no-pain by age distribution. Methods: A case-control study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology criteria. A sample of 332 participants, divided into the following age categories: 19-24 (n=11), 25-39 (n=66), 40-64 (n=90), 65-79 (n=124), and ≥80 (n=41) years was recruited from domiciliary visits and an outpatient clinic. The BDI scores were self-reported in participants with nonspecific acute or subacute (≤3 months) LBP (n=166) and no-pain (n=166). Results: The BDI scores, mean ± standard deviation, showed statistically significant differences (p<0.001) between participants with nonspecific acute or subacute LBP (9.590±6.370) and no-pain (5.825±5.113). Significantly higher BDI scores were obtained from participants with nonspecific acute and subacute LBP in those aged 40-64 years (p<0.001; 9.140±6.074 vs 4.700±3.777) and 65-79 years (p<0.001; 10.672±6.126 vs 6.210±5.052). Differences were not significant in younger patients aged 19-24 (p=0.494; 5.000±2.646 vs 8.250±7.498), 25-39 (p=0.138; 5.440±5.245 vs 3.634±4.397), and in those aged ≥80 years (p=0.094; 13.625±6.1331 vs 10.440±5.591). Conclusion: Participants with nonspecific acute and subacute LBP present higher BDI depression scores, influenced by age distribution. Specifically, patients in the age range from 40 to 80 years with LBP could require more psychological care in addition to any medical or physical therapy. Nevertheless, physical factors, different outcomes, and larger sample size should be considered in future studies.
How severe is depression in low back pain patients?
Acta clinica Croatica, 2014
The aim of the present study was to determine the prevalence of depression among low back pain (LBP) patients and to investigate the sociodemographic characteristics of pa- tients with LBP and relationship between depression and pain intensity in LBP patients. The study was conducted on 99 patients treated at Clinical Department of Neurology, Split University Hospital Center. There were 36 (36%) men and 63 (64%) women. Some degree of depression was present in 73 (74%) study patients, including all patients with severe LBP. In the group of patients with severe LBP, the rate of moderate, severe and very severe depression was 1.36-fold that recorded in the gro- up of patients with moderate LBP and 2.58-fold that found in the group of patients with mild LBP (χ2 = 16.2; p = 0.003). The most common symptoms were general physical symptoms 70 (71%), psychic anxiety 69 (70%) and depressed mood 66 (67%). It is concluded that depression was more severe in LBP patients with severe disease compa...
Psychological Profile of Patients with Chronic Low Back Pain
Journal of Gandhara Medical and Dental Science, 2021
OBJECTIVES: To assess the frequency of depression, anxiety, and stress in patients with Chronic Low Back Pain (CLBP) using Depression Anxiety Stress Scale (DASS-42). METHODOLOGY: This descriptive study was performed from January 2019 to June 2019. All those patients with chronic low back pain with duration of more than 6 months were included. Patients below 20 and above 60 years were excluded to eliminate the effect of extreme ages. The Depression Anxiety Stress Scale (DASS-42) was used in this study. RESULTS: In this study, a total of 127 patients were successfully interviewed. The mean age of the sample was 36.46 (SD±7.38) with a minimum age of 22 years and maximum of 59 years. Out of these 127 patients, 83 (65.4%) were female while 44 (34.6%) were male patients. The minimum duration of chronic low back pain in our patients was 8 months while the maximum was 55 months with a mean of 28 months (SD 9.9). The mean DASS score for depression was 11.8 (SD±4.23), anxiety was 7.5 (SD±2.9)...
Quality of Life and Mental Distress in Patients with Chronic Low Back Pain: A Cross-Sectional Study
International Journal of Environmental Research and Public Health
The aim of this study was to examine the levels of health-related quality of life (HRQoL), pain intensity, and mental distress in participants with chronic low back pain (CLBP), and to examine the differences in the HRQoL of participants with respect to mental distress and the correlations of the examined variables. Data were collected from 148 patients using the SF-36 Health Status Questionnaire (SF-36), the Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE-OM) questionnaire, and the visual-analog pain scale (VAS). The results indicate poorer self-assessment of physical health (Me = 28.1) compared to mental health (Me = 39.4). Participants with higher levels of mental distress reported significant emotional limitations (p = 0.003), lower energy (p < 0.001), poorer psychological health (p < 0.001) and social functioning (p < 0.001), more pain (p = 0.007), and, ultimately, poorer general health (p < 0.001). The level of mental distress was related to the level...
Depression Symptoms Among Older Adults With and Without Subacute Low Back Pain
Rehabilitation Nursing, 2018
Purpose: Lumbago, or low back pain (LBP), is a common musculoskeletal complaint among older adults that may also be associated with depression. The study objective was to investigate differences in Beck Depression Inventory depression symptoms scores among older adult patients with and without LBP. Design: This was a case-control study. Methods: A total of 152 older adult patients, recruited at an outpatient healthcare clinic (47 men, 105 women; 74.81 ± 6.9 years), were classified as having subacute LBP (n = 76) or non-LBP (n = 76) according to clinic records. Findings: Beck Depression Inventory scores (mean ± SD) among LBP patients (10.93 ± 6.18) were significantly higher compared to the non-LBP group (7.62 ± 5.70; p = .000085), whose scores indicated no depression symptoms. Conclusion: Subacute LBP may represent a potential risk for increased depression among older adults. Clinical Relevance: Early detection of depression will assist rehabilitation nurses in prescribing the beneficial physical rehabilitation and exercise programs or provide the information and treatment recommendations to older adults with subacute LBP and their families. Also, it should be part of a nursing staff prevention strategy for patients who suffer this common musculoskeletal disorder.